Vaginal Infections and Irregular Menstruation: Common Concerns

Vaginitis, irregular menstruation?

I visited a doctor in early June due to a Candida infection, and the doctor prescribed suppositories to be used every two days for a total of seven doses over 14 days.
However, I have already seen the doctor three times, and my condition has not improved; in fact, it has worsened.
Why is this happening? How long will it take to get better? Is it safe to engage in sexual activity during the treatment? Additionally, I am experiencing menstrual irregularities, and after blood tests, everything is within normal ranges.
The doctor mentioned that it is an ovulation issue and advised me to take menstrual induction medication regularly until I want to conceive, at which point I would switch to a different medication.
Is this approach acceptable?

111, 20~29 year old female. Ask Date: 2015/07/07

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the treatment for vaginal candidiasis primarily involves the use of suppositories and topical creams.
If there is no improvement with continued treatment, further examinations such as microscopic examination of secretions and microbial cultures may be arranged by your physician.
For patients with drug resistance and recurrent infections, oral medications may also be used, and it is recommended to temporarily abstain from sexual intercourse during the treatment period.
Additionally, based on your description, it seems like symptoms of polycystic ovary syndrome (PCOS).
If this is the case, treatment options such as hormonal contraceptives, ovulation-inducing medications, menstrual regulators, and antidiabetic medications can be considered depending on your pregnancy plans.
I recommend discussing your diagnosis and necessary treatment options with your physician.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2015/07/07

More Info

When it comes to understanding vaginal infections, particularly yeast infections, and irregular menstruation, there are several important factors to consider. Your experience with a yeast infection, which you have been treating with suppositories, indicates that you are dealing with a common but sometimes persistent issue.
Firstly, it’s not uncommon for yeast infections to take time to resolve, especially if they are recurrent or if there are underlying factors contributing to the infection. Factors such as hormonal changes, antibiotic use, and immune system status can all influence the duration and severity of a yeast infection. If you have been treated multiple times without improvement, it may be worth discussing with your healthcare provider the possibility of a different diagnosis or treatment approach. Sometimes, what appears to be a yeast infection may actually be caused by other pathogens, such as bacterial vaginosis or sexually transmitted infections, which would require different treatment.

Regarding the timeline for recovery, it can vary widely among individuals. Some may notice improvement within a few days of starting treatment, while others may take weeks. If you are not seeing any improvement after completing the prescribed course of treatment, it is essential to follow up with your healthcare provider. They may recommend further testing or a different treatment plan.

As for engaging in sexual activity during treatment, it is generally advised to avoid sexual intercourse until the infection has completely resolved. This is to prevent irritation and further complications, as well as to avoid transmitting any potential infections to your partner. Additionally, sexual activity can sometimes exacerbate symptoms, making the healing process more uncomfortable.

Regarding your irregular menstruation and the use of medication to regulate your cycle, it is important to follow your doctor's advice. If your blood tests indicate that your hormone levels are within normal ranges, it is possible that your irregular cycles are due to other factors, such as stress, lifestyle changes, or ovulatory issues. The use of medications to induce menstruation can be appropriate in certain situations, especially if you are planning to conceive in the future. However, it is crucial to have a thorough discussion with your healthcare provider about the potential side effects and the long-term implications of using such medications.

In summary, it is essential to maintain open communication with your healthcare provider regarding your symptoms and treatment progress. If you feel that your current treatment is not effective, do not hesitate to seek further evaluation. Additionally, consider lifestyle factors that may be contributing to your symptoms, such as diet, stress levels, and overall health. Taking a holistic approach to your health can often lead to better outcomes in managing both infections and menstrual irregularities.

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